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Disciplines Exam 2 SHEA > OCD > Flashcards

OCD Flashcards

1
Q

Recurrent intrusive thoughts –> cause anxiety or distress

A

Obsessions (OCD)

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2
Q

Repetitive mental or behavioral acts –> feels driven to perform

A

Compulsions (OCD)

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3
Q

Is related to an obsession or according to rules that must be applied rigidly or to achieve a sense of “completeness” or “just right.”

A

Compulsion - OCD

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4
Q

What are the 4 “dysfunctional beliefs” of OCD

“PICO”

A
  • Inlated sense of responsibility/tendency to overestimate threat
  • Perfectionism/intolerance of uncertainty
  • Over-importance of thought (believing that having a forbidde thought is as bad as acting on it)
  • Need to control thoughts
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5
Q
  • Mean age of onset of OCD
  • 25% of cases start by what age?
  • Do males or females have earlier age of onset?
  • Onset after what age is unusual?
A
  • 19.5
  • 14
  • Males (25% by age 10)
  • 35
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6
Q

What is a risk factor of OCD that would cause “acute onset” of OCD in an adult?

A
  • Stressful or traumatic events
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7
Q

What “post-infectious” autoimmune syndrome is associated w/ OCD?

A

Group A Streptococcal infection

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8
Q

Contamination of _____

____ of Violent or horrific scenes

____ to stab someone

A
  • thoughts
  • images
  • urges

(Obsessions of OCD)

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9
Q

How does an individual w/ OCD ignore or suppress or neutralize their obsessions? (2 ways)

A
  • By thinking of something else
  • By performing a compulsion
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10
Q

(OCD patients avoid triggers)

  • Give an example of what a person w/ OCD who has a contamination concern will avoid?
  • Give an exmple of what a person w/ OCD who has intrusive thoughts of causing harm will avoid?
A
  • Public restrooms
  • Social interactions
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11
Q
  • Repetitive behaviors/rituals (hand washing, ordering, checking)
  • Mental acts (praying, counting, repeating words silently)
  • Individual feels driven to perform in response to obsession or according to rigid rules
A

Compulsions (OCD)

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12
Q

Time consuming disorders, or losing job / school work

A

OCD

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13
Q

What are the 3 insights of OCD?

A
  • Good/Fair: the individual recognizes that OCD beliefs are definitely/probably NOT TRUE (Majority)
  • Poor: the individual thinks OCD beliefs are probably true (Minority)
  • Absent/Delusional: the individual is completely convinced that OCD beliefs are true (4%)
    • Ex: pt convinced house will burn down if stove isn’t checked 30 times
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14
Q

Besides insights, what else needs to be specified in OCD?

A
  • If it it “Tic-Related”
  • Current or past hx of tic disorder (up to 30%)
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15
Q

What are the 4 common themes of OCD?

A
  • Cleaning: contamination obsessions / cleaining compulsions
  • Symmetry: symmetry obessions / repeating, ordering, counting compulsions
  • Forbidden/taboo thoughts: aggressive, sexual, religious obsessions/compulsions
  • Harms: fears of harm to onself / checking compulsions
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16
Q

What are 3 response to triggers of OCD?

A
  • Marked anxiety (panic attacks)
  • Feelings of disgust
  • Sense of incompleteness or uneasiness until things are “just right”
17
Q

OCD has a strong link to suicide

  • ___% of SI
  • ___% of behaviors/attempts
A
  • 63% ideation
  • 46% actions
18
Q

OCD Comorbidities

  • ___% w/ anxiety disorders
  • ___% w/ mood disorder
  • ___% w/ OCD personality disorder

What is the most common mood disorder people w/ OCD face?

A
  • 76% AD
  • 63% MD
  • 30% PD
  • Major Depressive Disorder (MDD)
19
Q

OCD is a risk factor for developing which 3 conditions?

A
  • Body dysmorphic disorder
  • Trichotillomania
  • Excoriation disorder
20
Q

What is 1st line tx for OCD? (3)

A
  • Cognitive behavioral therapy and/or
  • SSRI (sertraline - Fluoxetine)
  • Tricyclic antidepressants (inhibits reuptake of serotonin and norepinephrine (Clomipramine)
  • Consider tapering off meds after 1 - 2 years
21
Q

What is a risk factor for developing OCD which occurs during childhood?

A
  • Childhood physical or sexual abuse
22
Q

Is OCD genetic?

A

Yes, twin/family studies suggest genetic contribution shows there is a stronger influence on pediatric onset of OCD (rate increased 10 fold)

23
Q
  • Recurrent/persistent thoughts, urges, or images that are experienced at some time during the disturbance as “intrusive and unwanted.” (not pleasurable/involuntary).
  • In most individuals cause marked anxiety or distress.
A

Obsessions (OCD)

24
Q
  • Behaviors or mental acts are aimed at preventing/reducing anxiety or distress or preventing some dreaded event/situation, but they are not connected in a realistic way.
A
  • Compulsions of OCD
25
Q

What classifies an obsession or compulsion as “time consuming” per the DSM criteria?

A
  • Takes more than 1 hour per day OR causes clinically significant distress/impairment in social or occupational functioning

Disciplines Exam 2 SHEA (11 decks)

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